Individual
DR. MARK WAYNE LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2555 PHILLIPS FIELD RD, FAIRBANKS, AK 99709-3933
(907) 328-2980
(907) 456-2914
Mailing address
2555 PHILLIPS FIELD RD, FAIRBANKS, AK 99709-3933
(907) 328-2980
(907) 456-2914
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
171851
AK
152W00000X
Optometrist
1934DT
KY
152W00000X
Optometrist
4901004481
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900A210610
BCBSM
MI
Enumeration date
04/18/2008
Last updated
04/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us